K Number
K121977
Device Name
PLASMAJET NEUTRAL PLASMA SURGERY SYSTEM
Date Cleared
2012-11-20

(138 days)

Product Code
Regulation Number
878.4400
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdparty
Intended Use
The PlasmaJet® system is a neutral plasma surgery system that is designed for cutting, coagulation and the removal of soft tissue by vaporization in open surgery and laparoscopic surgery.
Device Description
The PlasmaJet® system comprises: a) PlasmaJet® console (Version 3-Plus), b) PlasmaJet® service module, c) PlasmaJet® open surgery handpieces, and d) PlasmaJet® laparoscopic surgery handpieces. It is a neutral plasma surgery system. The latest version of the PlasmaJet® console (Version 3-Plus) features rapidly pulsed plasma in a so-called "Ultra" mode that provides optimal cutting and coagulation capability.
More Information

Not Found

No
The summary describes a surgical system using neutral plasma for cutting, coagulation, and vaporization. There is no mention of AI, ML, image processing, or any data-driven decision-making or analysis capabilities. The description focuses on the physical mechanism and modes of operation.

No
The device is described as a surgery system designed for cutting, coagulation, and removal of soft tissue, which are surgical procedures, not treatments for diseases or medical conditions.

No
The device is described as a "neutral plasma surgery system that is designed for cutting, coagulation and the removal of soft tissue by vaporization." Its intended use is surgical intervention, not diagnosing conditions or diseases.

No

The device description explicitly lists hardware components (console, service module, handpieces) and describes a physical surgery system, not a software-only device.

Based on the provided information, the PlasmaJet® system is not an IVD (In Vitro Diagnostic).

Here's why:

  • Intended Use: The intended use is for "cutting, coagulation and the removal of soft tissue by vaporization in open surgery and laparoscopic surgery." This describes a surgical procedure performed directly on a patient's tissue, not a test performed on a sample taken from the body.
  • Device Description: The description details a surgical system with a console, service module, and handpieces designed for surgical manipulation of tissue.
  • Lack of IVD Characteristics: There is no mention of analyzing biological samples (blood, urine, tissue samples, etc.) or providing diagnostic information based on such analysis.

IVD devices are used to examine specimens derived from the human body to provide information for diagnostic, monitoring, or compatibility purposes. The PlasmaJet® system is a surgical tool used for therapeutic purposes (cutting, coagulation, removal of tissue).

N/A

Intended Use / Indications for Use

The PlasmaJet® system is a neutral plasma surgery system that is designed for cutting, coagulation and the removal of soft tissue by vaporization in open surgery and laparoscopic surgery.

Product codes (comma separated list FDA assigned to the subject device)

GEI

Device Description

Proprietary Name: PlasmaJet® system, comprising:

  • a) PlasmaJet® console (Version 3-Plus)
  • b) PlasmaJet® service module
  • PlasmaJet® open surgery handpieces C)
  • PlasmaJet® laparoscopic surgery handpieces d)

Mentions image processing

Not Found

Mentions AI, DNN, or ML

Not Found

Input Imaging Modality

Not Found

Anatomical Site

Not Found

Indicated Patient Age Range

Not Found

Intended User / Care Setting

Not Found

Description of the training set, sample size, data source, and annotation protocol

Not Found

Description of the test set, sample size, data source, and annotation protocol

Not Found

Summary of Performance Studies (study type, sample size, AUC, MRMC, standalone performance, key results)

Pre-clinical and tissue studies have been performed and these have established that the PlasmaJet® neutral plasma surgery system provides safe and effective cutting, coagulation and removal of soft tissue by vaporization equivalent to predicate devices with minimal damage to underlying tissue.

Key Metrics (Sensitivity, Specificity, PPV, NPV, etc.)

Not Found

Predicate Device(s): If the device was cleared using the 510(k) pathway, identify the Predicate Device(s) K/DEN number used to claim substantial equivalence and list them here in a comma separated list exactly as they appear in the text. List the primary predicate first in the list.

K080197, K031085, K100415

Reference Device(s): Identify the Reference Device(s) K/DEN number and list them here in a comma separated list exactly as they appear in the text.

Not Found

Predetermined Change Control Plan (PCCP) - All Relevant Information for the subject device only (e.g. presence / absence, what scope was granted / cleared under the PCCP, any restrictions, etc).

Not Found

§ 878.4400 Electrosurgical cutting and coagulation device and accessories.

(a)
Identification. An electrosurgical cutting and coagulation device and accessories is a device intended to remove tissue and control bleeding by use of high-frequency electrical current.(b)
Classification. Class II.

0

i21977

PLASMA SURGICAL

510(k) Summary

for the Plasma Surgical PlasmaJet® System (Version 3-Plus)

NOV 2 0 200

November 19th 2012

1 Submitter

Plasma Surgical Ltd 127 Milton Park Abingdon Oxfordshire OX14 4SA United Kingdom

Contact Person:Peter F Gibson
Telephone:+44 1235 822506
Facsimile:+44 1235 820832
E-mail:pgibson@plasmasurgical.com

2 Name of Device

Proprietary Name: PlasmaJet® system, comprising:

  • a) PlasmaJet® console (Version 3-Plus)
  • b) PlasmaJet® service module
  • PlasmaJet® open surgery handpieces C)
  • PlasmaJet® laparoscopic surgery handpieces d)

Neutral Plasma Surgery system Common Name:

Device Classification: Electrosurgical cutting and coagulation devices have been placed in Class II as per 21 CFR Regulation Number 878.4400 and assigned the Product Code GEI.

3 Predicate Devices

The components of the PlasmaJet® system are substantially equivalent to the following legally marketed devices: .

  • K080197 Plasma Surgical PlasmaJet® Neutral Plasma Surgery System K031085 Gyrus PlasmaKinetic Superpulse Generator System & Accessories K100415 Lumenis AcuPulse 30/40ST and 40WG CO2 Laser Systems
    Plasma Surgical Limited 127 Milton Park, Abingdon, Oxfordshire OX14 4SA, United Kingdom Telephone: +44 (0)1235 822500 Facsimile: +44 (0)1235 820832 Registered in England No. 3709815

1

Intended Use ব

The PlasmaJet® system is a neutral plasma surgery system that is designed for cutting, coagulation and the removal of soft tissue by vaporization in open surgery and laparoscopic surgery.

Comparison to Predicate Devices ട്

The PlasmaJet® system that is the subject of this submission is identical in technological characteristics to the predicate PlasmaJet® device (K080197). The new handpieces with optimized performance for the subject PlasmaJet® system are similar in design, materials and construction to the handpieces of the predicate PlasmaJet® device and employ the same plasma energy source. They differ only in the internal dimensions of the electrode group to provide a more fine plasma stream and that is optimised for most effective use with rapidly pulsed plasma. The latest version of the PlasmaJet® console (Version 3-Plus) features rapidly pulsed plasma in a so-called "Ultra" mode that provides optimal cutting and coagulation capability. A user selectable pulse mode was present in the predicate PlasmaJet® device.

In its ability to cut and remove tissue, the action of the PlasmaJet® system is similar to that of the predicate Gyrus PlasmaKinetic Superpulse electrosurgery system (K031085) and the Lumenis AcuPulse CO2 laser (K100415). However, the energy of the plasma stream from the PlasmaJet® falls rapidly with distance and allows the surgeon to control the surgical effect by adjusting the distance to tissue.

e Summary of Substantial Equivalence

Pre-clinical and tissue studies have been performed and these have established that the PlasmaJet® neutral plasma surgery system provides safe and effective cutting, coagulation and removal of soft tissue by vaporization equivalent to predicate devices with minimal damage to underlying tissue.

Plasma Surgical Limited 127 Milton Park, Abingdon, Oxfordshire OX14 4SA, United Kingdom Telephone: +44 (0)1235 822500 Facsimile: +44 (0)1235 820832 Registered in England No. 3709815

2

DEPARTMENT OF HEALTH & HUMAN SERVICES

Image /page/2/Picture/1 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo consists of a stylized eagle with its wings spread, and the words "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" arranged in a circular pattern around the eagle. The eagle is black, and the text is also black. The logo is simple and recognizable.

Public Health Service

Food and Drug Administration 10903 New Hampshire Avenue Document Control Center - WO66-G609 Silver Spring, MD 20993-002

Plasma Surgical Limited % Dr. Peter Gibson Senior Vice-President 127 Milton Park . Abingdon, Oxfordshire United Kingdom OX14-4SA

November 20, 2012

Re: K121977

Trade/Device Name: PlasmaJet® Neutral Plasma Surgery System Regulation Number: 21 CFR 878.4400 Regulation Name: Electrosurgical cutting and coagulation device and accessories Regulatory Class: Class II Product Code: GEI Dated: November 13, 2012 Received: November 14, 2012

Dear Dr. Gibson:

We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act) that do not require approval of a premarket approval application (PMA). You may, therefore, market the device, subject to the general controls provisions of the Act. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration. Please note: CDRH does not evaluate information related to contract liability warranties. We remind you, however, that device labeling must be truthful and not misleading.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.

Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); medical device reporting (reporting of medical device-related adverse events) (21 CFR 803); good manufacturing practice requirements as set

3

Page 2 - Dr. Peter Gibson

forth in the quality systems (QS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please go to http://www.fda.gov/AboutFDA/CentersOffices/CDRH/CDRHOffices/ucm115809.htm for the Center for Devices and Radiological Health's (CDRH's) Office of Compliance. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). For questions regarding the reporting of adverse events under the MDR regulation (21 CFR Part 803), please go to

http://www.fda.gov/MedicalDevices/Safety/ReportaProblem/default.htm for the CDRH's Office of Surveillance and Biometrics/Division of Postmarket Surveillance.

You may obtain other general information on your responsibilities under the Act from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (301) 796-7100 or at its Internet address http://www.fda.gov/MedicalDevices/Resourcesfor You/Industry/default.htm.

Sincerely yours,

Peter D. Rumm -S

Mark N. Melkerson Acting Director Division of Surgical Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

4

Indications for Use

510(k) Number (if Known): K121977

Device Name:

PlasmaJet® System

Indications for Use:

The PlasmaJet is a neutral plasma surgery system that is designed for cutting, coagulation and the removal of soft tissue by vaporization in open surgery and laparoscopic surgery.

Prescription Use X (Part 21 CFR 801 Subpart D)

AND/OR

Over-The-Counter Use (21 CFGR 801 Subpart C)

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

Concurrence of CDRH Office of Device Evaluation (ODE)

Division of Surgical Devices

K121977
Peter D. Rumm -S

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5

Indications for Use

510(k) Number (if Known):

Device Name:

Indications for Use:

PlasmaJet® System

K121977

The PlasmaJet is a neutral plasma surgery system that is designed for cutting, coagulation and the removal of soft tissue by vaporization in open surgery and laparoscopic surgery.

Prescription Use X (Part 21 CFR 801 Subpart D)

Over-The-Counter Use (21 CFGR 801 Subpart C)

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE IF NEEDED)

AND/OR

Concurrence of CDRH Office of Device Evaluation (ODE)

(Division Sign-Off) Division of Sungical Device 510(k) Ivuinto

Page 1 of